Organization · Type 2 NPI

Shelby County Ohio

Skilled Nursing Facility · Sidney, OH

NPI number 1376690461 Active

Practice location

2901 Fair Rd
Sidney, OH 45365-9534

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

2 other providers at this address

Other skilled nursing facility providers in Sidney

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NPI record

NPI: 1376690461
Entity type: Organization (Type 2)
Issued: Jan 4, 2007
Last updated: Apr 19, 2012
Status: Active
Subpart: Yes of Shelby County

Other names

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Fair Haven Shelby County Home · doing business as

Authorized official

Anita S. Miller, LNHA
Executive Director
(937) 492-6900

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376690461

Shelby County Ohio's National Provider Identifier is 1376690461, issued on Jan 4, 2007. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Sidney, OH. The record was last updated on Apr 19, 2012.